Teaching NeuroImages: Neurolymphomatosis - tinyurl.com/y2dfyyne

Tip of the day 💡: This intramedullary spinal cord signal is “normal” on STIR sequences. Don’t call it “myelitis”!

Clinical Presentation, Management, and Outcome in Neurolymphomatosis: A Systematic Review bit.ly/3M6Y99Y

🧠Read the updated ABN guidelines for autoimmune myasthenia gravis - summarised in the infographic below. Highlights include👇 • Daily (not alternate-day) steroids • Early thymectomy for AChR+ MG (<50 yrs; consider ≤65 yrs) • Evidence for early rituximab • New targeted

Lauren Turner, DO & Phillip B. Gorelick, MD, MPH discuss the diagnosis & management of #orthostatic #hypotension in people with #Parkinson's. Read their article today: ow.ly/XRo650XegOK Northwestern Feinberg School of Medicine Trinity Health MI MDS @Parkinsondotorg @MichaelJfoxfoundation

Hepatitis B in the brain. What? Yes! The CSF was ✚ My only concern: Is the MRI finding seizure related or direct viral invasion ? 👻 times.

⓻ unmet needs in the clinical management of #migraine. From a recent deliberation. 0/7

Disappointing negative outcome from the THEIA trial of IV alteplase vs aspirin in CRAO, albeit underpowered. Similar outcomes reported at ESOC 2025 in the yet published TenCRAOS trial of IV tenecteplase. Is intra-arterial thrombolysis the answer here? 🤔 thelancet.com/journals/laneu…

Size Does Matter Wartenberg in 1945- "It is a common mistake to regard the reflex as lost when it is not." If Jendrassik's maneuver can't "find" DTRs, areflexia of GBS, Miller-Fisher, Holmes-Adie may be supported but first try a bigger hammer (not shown) on the muscle tendon!

Hemi-orolingual angioedema is known to occur after thrombolysis for ischaemic stroke (esp. with ACEi), but I was not aware it could also occur in ischaemic stroke WITHOUT thrombolysis 🤯 Possibly linked to infarction involving the insula. ahajournals.org/doi/10.1161/ST…

🧠⚡️ New in Practical Neurology: a hands-on EEG guide for diagnosing & classifying status epilepticus ✅ Aligns ILAE & ACNS 🔎 Demystifies NCSE + the ictal-interictal continuum 🪜 Stepwise bedside approach & when to treat Read 📖 doi.org/10.1136/pn-202… #EEG

Which of the following is correct regarding the sleep stage shown in the EEG below? Select your answer and read the explanation at eegmaster.com/eegmaster/quiz…

Delayed Post-Hypoxic Leukoencephalopathy (DPHL). Acute hypoxia → diffusion restriction in cortex, basal ganglia, hippocampi. First set of images (DWI and FLAIR) 2-4 weeks later → cortex normalizes, but white matter turns bright on FLAIR = DPHL (the delayed sequel of

#WSC2025 #PROLEVIS-Ischemic (n=439) 💊#levetiracetam vs placebo after cortical ischemic stroke to prevent post-stroke seizures ✅ Multicenter, double-blind, 1-year follow-up ⚡️1ry outcome: occurrence of a 1st post-stroke seizure 5.58 vs 6.02👉non significant difference

I love gait analysis! Let me break it down for you. Look at the slow and careful steps with low step length and height with the feet close together and yet so many sudden sways from side to side. This is a strong sign of a non-organic etiology. This is because a wide base is

Prophylactic levetiracetam doesn’t reduce the odds of seizure or time to first seizure in patients with acute cortical ischemic stroke. #wsc25

Although I like to use "amaurosis fugax" for vascular events, "amaurosis fugax dolorosa" is fascinating! A painful (headaches or periocular) transient monocular visual loss which may herald MOGAD optic neuritis. Not positional. Rare (2%), not one to miss! neurology.org/doi/10.1212/NX…

Functional Neurological Disorder is still too often labelled as “medically unexplained”. That’s outdated. Here are 5 reasons why #FND shouldn’t be grouped under #MUS 👇

Update on IPND 2025 NMOSD diagnostic criteria presented by Dr Dean Wingerchuk via the limbic. Highlights: - New clinicorad cerebellar syndrome - Guidance regarding AQP4 testing methods: LCBA > FCBA >> ELISA - Clarifying that double-seronegative phenocopies are not NMOSD

How to Read an #EEG strikes back -- Now covering "#Epileptiform Abnormalities"! ⚡️🧠 Kaley Marcinski Nascimento Sandor Beniczky L J Hirsch tinyurl.com/EEGx2